8 Jun 2023 Ivan Rumenov Ignatov · Prevention of Future Deaths report Dorset
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Concerns raised 5 Insufficient guidance for custody sergeants assessing detainee risk View source Lack of shared knowledge and understanding of terminology, processes and communication among emergency and search and rescue services View source Inaccessibility of post-release detainee information due to language or literacy barriers View source Insufficient identification, collation and recording of factors increasing detainee risk on the Niche system View source Lack of guidance for releasing detainees without an address to reside at View source See 2 more concerns
Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised. 2
Action
Train all incident commanders in the JESIP joint doctrine interoperability framework and its principles of joint working.
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Action
Represent the Service at the Dorset Blue Light Group meeting to address interoperability challenges involving partners’ different radio communications.
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AI-generated summary
Ivan Rumenov Ignatov · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
Ivan Rumenov Ignatov entered the English Channel on 19 July 2020 and did not resurface; he was found deceased in the water on 31 July 2020. The report raises concerns about police risk assessment and recording, support for detainees released without accommodation or with language and literacy barriers, and communication between emergency and search-and-rescue services.
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× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Dorset & Wiltshire Fire and Rescue Service; that does not assign responsibility.
PFD Monitor interpretation Insufficient guidance for custody sergeants assessing detainee risk
Wider context from the report “ii. There is not sufficient guidance given to custody sergeants on a national basis of how to assess a person’s risk .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Dorset & Wiltshire Fire and Rescue Service; that does not assign responsibility.
PFD Monitor interpretation Lack of shared knowledge and understanding of terminology, processes and communication among emergency and search and rescue services
Wider context from the report “iv. There is a lack of knowledge and/or understanding amongst emergency services and search and rescue services, especially around terminology, process and communication for them to be able to work together when an incident arises without confusion or misunderstanding arising . I would request that consideration is given to further national and local training or guidance across emergency and search and rescue services to ensure communication can be facilitated without delay, and ensure terms and processes are understood to avoid any doubt of what action is being taken when an incident is ongoing.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Dorset & Wiltshire Fire and Rescue Service; that does not assign responsibility.
PFD Monitor interpretation Inaccessibility of post-release detainee information due to language or literacy barriers
Wider context from the report “v. Leaflets given to detainees when released from police custody are not always accessible due to language or literacy barriers and I would request that consideration is given nationally by NHS England and all Police Forces to ensure that any documentation detainees, especially any providing help and assistance, is accessible to them.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Dorset & Wiltshire Fire and Rescue Service; that does not assign responsibility.
PFD Monitor interpretation Insufficient identification, collation and recording of factors increasing detainee risk on the Niche system
Wider context from the report “i. There is not sufficient clarity in the identifying, collating and recording of factors which may increase a person’s risk on the Niche system that Dorset Police, and other forces nationally, use and as a result information could be missed which is vital to a person’s risk assessment and their risk to themselves or others .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Dorset & Wiltshire Fire and Rescue Service; that does not assign responsibility.
PFD Monitor interpretation Lack of guidance for releasing detainees without an address to reside at
Wider context from the report “iii. There is no guidance, that I am aware of, which addresses what should be done by police forces, and particularly custody sergeants, when a person is to be released without an address to reside at and I would request consideration is given to such guidance being provided.
” Open source report
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Train all incident commanders in the JESIP joint doctrine interoperability framework and its principles of joint working.
Verbatim wording from the response “Although the Service was not directly involved in the search and rescue operation on this occasion, we work closely with our colleagues in the wider emergency services and search and rescue services, including police, ambulance, and His Majesty’s Coastguard. It is for the reasons you identify that we remain committed to the Joint Emergency Services Interoperability Principles (JESIP). The JESIP joint doctrine interoperability framework forms the foundation on which we train all our incident commanders and contains the five principles of joint working:” Source location Response from Dorset and Wiltshire Fire and Rescue
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Represent the Service at the Dorset Blue Light Group meeting to address interoperability challenges involving partners’ different radio communications.
Verbatim wording from the response “The Service is an active member of the Dorset Local Resilience Forum, who consider JESIP as a key area for continuous improvement. Through this forum, the challenges of intra-operability with partners, who have different radio communications, is an area of focus for the Blue Light Group on 18 September 2023. Our Service will be appropriately represented at this meeting.” Source location Response from Dorset and Wiltshire Fire and Rescue
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Existing JESIP-based training, assessment and resilience-forum arrangements address communication and interoperability concerns.
Verbatim wording from the response “Although the Service was not directly involved in the search and rescue operation on this occasion, we work closely with our colleagues in the wider emergency services and search and rescue services, including police, ambulance, and His Majesty’s Coastguard. It is for the reasons you identify that we remain committed to the Joint Emergency Services Interoperability Principles (JESIP). The JESIP joint doctrine interoperability framework forms the foundation on which we train all our incident commanders and contains the five principles of joint working:” Source location Response from Dorset and Wiltshire Fire and Rescue
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations